Certain populations need to inject B12 in larger doses to maintain baseline health: Individuals with pernicious anemia are initially injected with 100 mcg daily for one week, followed by 100 mcg every other day for 3-4 weeks
One such intermediate byproduct is a potent toxin known as acetaldehyde. While acetaldehyde is short-lived, usually existing in the body only for a brief time before it is further broken down into acetate, according to a NIAAA fact sheet, it has the potential to cause significant damage to your cells and tissues in the liver, pancreas, brain and elsewhere
Further, I have post radiotherapy hypothyroidism, in other words, my thyroid gland has been deliberately made inoperative as it was producing too much thyroxine: hyperthyroidism
Step 4: Request a Peer-to-Peer Review Many Medicaid managed care plans offer peer-to-peer reviews where the prescribing provider can speak directly with the plan's medical director
But what defines someone as well nourished? How do you know if you could be deficient in B12
doi:10.1111/j.1365-2141.2009.07937.x